Diffuse hepatocellular carcinoma with malignant portal vein thrombosis and arterioportal shunt

Case contributed by Dr Ahmed Abdrabou

Presentation

Known patient with liver cirrhosis developed progressive abdominal enlargement

Patient Data

Age: 60
Gender: Male

There is diffuse malignant infiltration of the medial segments of left and right hepatic lobes. There is early filling of right and left portal vein branches in the arterial phase suggesting underlying arterio-portal shunting which is associated with infarction of the lateral segment of left hepatic lobe from steel phenomenon. Moreover there is malignant thrombosis of the right and left portal vein branches reaching the confluence. Marked ascites is detected.

Diagnosis: Diffuse hepatocellular carcinoma with malignant portal vein thrombosis and arterio-portal shunt

Case Discussion

Alpha fetoprotein of the patient was 1120 ng/dl which correlated with hepatocellular carcinoma. The washout of the lesion was not apparent on portovenous phase may be from hemodynamic alteration by arterioportal shunt.

PlayAdd to Share

Case information

rID: 37081
Published: 27th May 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.